A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge regarding Defibrillation among staff nurses in a selected hospitals at Bhilwara, Rajasthan
1Final Year M.Sc. Nursing Student, Sudha College of Nursing, Kota.
2Principal, Sudha College of Nursing, Kota.
3HOD MSN Department, Sudha College of Nursing Kota.
*Corresponding Author E-mail: abhishekmasih800@gmail.com
ABSTRACT:
There are use of defibrillation the staff nurses have less knowledge about the defibrillation. Present study is aimed to assess the effectiveness of structured teaching programme regarding defibrillation among the nurses in selected hospitals at bhilwara, Rajasthan. 60 samples were selected using Non probability purposive sampling technique. The findings revealed that In pre test (88.33%) respondents were found with poor level of knowledge whereas with post test 21.67% of the respondents had poor knowledge level, 11.67% respondents had good knowledge level in the pre test whereas in post test it was 75.00%, there were no respondents found with excellent knowledge in pre test whereas in post test level of excellent respondents was improved to 3.33%. The study concluded that there was significant improvement in the level of knowledge of regarding defibrillation among the nurses. which indicated that the STP was found effective. The study also revealed that there was a significant association between pre test knowledge scores with selected socio demographic variables. Hence this kind of STP can be conducted from time to time for Nurses so that their knowledge can be improved for defibrillation.
KEYWORDS: Effectiveness, Structured Teaching Programme, Knowledge, Defibrillation, Nurses.
INTRODUCTION:
Defibrillation is a definitive treatment for life threatening cardiac arrhythmias, ventricular fibrillation and pulse less ventricular tachycardia. Defibrillation consists of delivering a therapeutic dose of electrical energy to the affected heart with a device called a defibrillator. This depolarizes a critical mass of the heart muscle, terminates the arrhythmia, and allows normal sinus rhythm to be reestablished by the body's natural pacemaker, in the sino-atrial node of the heart.
Defibrillators can be external, trans venous, or implanted, depending on the type of device used or needed. Some external units, known as Automated External Defibrillators (AEDs), automate the diagnosis of treatable rhythms, meaning that lay responders or bystanders are able to use them successfully with little, or in some cases no training at all.1 The AED is highly specific and sensitive in recognizing the shockable and non- shockable rhythms. The shock able rhythms are ventricular tachycardia (VT) and ventricular fibrillation (VF). The non shockable rhythms are pulseless electrical activity (PEA) and asystole. Therefore, it is essential to quantify and qualify the cardiac rhythms while patients experience cardiac arrest to further justify the employment of AED in hospital setting.2
Heart attack is the third commonest cause of death next to only cancer and road accidents in India. Every year 2.5million people suffer from coronary artery disease and 1.5million die of it in India. It is estimated that by 2025 every one out of four heart attacks in the world will be an Indian.3 Cardiac diseases are among the leading causes of death worldwide. Cardiac arrest is an important public health concern. It is the leading cause of death worldwide generally develops the ages between of 45-75. Permanent brain damage is seen in more than quarter of the patients who survived after early resuscitation. The sudden cardiac arrest requires emergency interventions. Successful cardio pulmonary resuscitation application is the first step for patients having cardiac arrest to continue to their normal life .Life- saving interventions are vital for the prevention of sudden cardiac arrest associated deaths. BLS includes both prompt recognition, immediate support of ventilation and circulation in case of respiratory or cardiac arrest. Health team members are playing a vital role in decreasing mortality rates due to cardiac arrest4 Cardiopulmonary resuscitation (CPR) helps to restore the partial flow of oxygen to the vital organs like brain and heart5
Since the data base regarding knowledge and the researchers own experience reveals an inadequate knowledge among the nurses regarding defibrillation. Hence the investigator wishes to assess the knowledge regarding the defibrillation among the nurses and analyzing the effectiveness of a structural teaching programme as a means of imparting education.
A Study To Assess The Effectiveness Of Structured Teaching Programme On Knowledge Regarding Defibrillation Among Staff Nurses In A Selected Hospitals At Bhilwara, Rajasthan”
1. To assess the pre-test knowledge regarding defibrillation among nurses.
2. To assess the effectiveness of structured teaching programme on knowledge regarding defibrillation among the nurses.
3. To assess the post-test knowledge regarding defibrillation among nurses.
4. To find out the association between pre test knowledge selected socio demographic variables.
H1: There is a significant difference between mean pre test and post-test knowledge scores regarding defibrillation among staff nurses
H2: There is a significant association between mean pre-test knowledge scores and selected socio demographic variables.
Research Approach and design:
Asses the Effectiveness of structured teaching programme on knowledge regarding defibrillation among nurses a pre experimental research design with evaluative approach was used.
The study was undertaken in nurses working in ICU and emergency at Ramsnehi hospital and research center Bhilwara.
The population consisted of nurses working in ICU and emergency at Ramsnehi hospital and research center Bhilwara.
Samples of the study were nurses working in ICU and emergency at Ramsnehi hospital and research center Bhilwara.
Sample size was 60 nurses.
In this study the samples were selected through Non probability purposive sampling techniques.
Inclusion Criteria:
Nurses who were
· Willing to participate in the study.
· Available at the time of data collection.
· Working in intensive care units and emergency department.
· Nurses who were not consented for participation in study.
· Not working in ICU and emergency unit.
The tool consisted of two sections
Section A: Consisted of selected socio- demographic variables such as age in years, gender, educational qualification, year of experience, attend any programme regarding defibrillation.
Section B: Consisted of structured knowledge questionnaire on defibrillation nurses. This section consisted of 21 items.
The selected aspects such as:
· Anatomy and physiology of heart
· Defibrillation
Items were judged by experts for relevance, clarity and appropriateness. Modifications done as per expert opinion.
The reliability of co-efficient of internal consistency was computed by using Cronbach Alpha.
Written permission was obtained from ethical committee of sudha college, kota prior to data collection. The sample were nurses working in ICU and emergency at ramsnehi hospital and research center bhilwara. The purpose of the study was explained and obtained informed consent from patients.
Data was analyzed as follows:
A master data sheet was prepared by the investigator.
Distribution of sample according to socio- demographic variables was analyzed by using frequency and percentage distribution.
Mean, mean% median and standard deviation used to analyzed pre test and post test practice score.
Anova test was used to find out the association between practice scores and socio-demographic variables of staff nurses in selected hospitals at Bhilwara.
The demographic characteristics of the respondents revealed that Majority (38.33%) of participants was from the age group of 31-35 years. Majority of the respondents (70.00%) were male.
Fig. 2: Interpretation of Level of Knowledge scores
Fig. 3: Effectiveness of structured teaching programme on Knowledge Regarding defibrillation.
· An comparative study can be conducted in Private and Government hospitals.
· More in-depth studies can be conducted on the topic.
· Structured teaching programme on defibrillation among staff nurses
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4. D. Ravivarman and K. Kamala (2020) A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge Regarding Basic Life Support among First Year Undergraduate Nursing Students, Journal of Pharmaceutical Research International 2020; 32(45): 31-36
5. Khan H, Vora M K, Bose N. An education intervention to assess knowledge and practices about cardio pulmonary resuscitation (CPR) among nurses and nursing students of tertiary care hospital in Gujarat, West India.Eur JPharmMedRes.2015; 2: 502- 11.
Received on 10.01.2024 Modified on 14.02.2024
Accepted on 19.03.2024 © A&V Publications all right reserved
Int. J. Nur. Edu. and Research. 2024; 12(2):121-123.
DOI: 10.52711/2454-2660.2024.00027